Individual
MR. PHONG THANH TRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RDH
Contact information
Practice address
599 A AVE #501, OCEANSIDE, CA 92058
(760) 763-2106
Mailing address
10082 ALDGATE AVE, GARDEN GROVE, CA 92840-1006
(714) 414-9943
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Enumeration date
01/24/2020
Last updated
01/24/2020
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